Individual
DR. KEVIN J KIRLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13900 NORTHDALE BLVD, ROGERS, MN 55374-9627
(802) 316-6974
Mailing address
13900 NORTHDALE BLVD, ROGERS, MN 55374-9627
(802) 316-6974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0300000326
VT
152W00000X
Optometrist
Primary
3155
MN
Other
Enumeration date
05/09/2007
Last updated
08/05/2011
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